| Name: | LIFESPAN PHARMACY LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 07 Jan 2013 (12 years ago) |
| Identification Number: | 000795620 |
| ZIP code: | 02903 |
| County: | Providence County |
| Principal Address: | 593 EDDY STREET DAVOL BUILDING, PROVIDENCE, RI, 02903, USA |
| Purpose: | LICENSED RETAIL PHARMACIES |
| Fictitious names: |
Brown University Health Pharmacy (trading name, 2024-08-15 - ) |
NAICS
446110 Pharmacies and Drug StoresThis industry comprises establishments known as pharmacies and drug stores engaged in retailing prescription or nonprescription drugs and medicines. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124867569 | 2024-05-24 | 2024-09-24 | 117 ELLENFIELD ST STE 101, PROVIDENCE, RI, 029054541, US | 117 CHAPMAN ST STE 200, PROVIDENCE, RI, 029055400, US | |||||||||||||||||||
|
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| Phone | +1 401-444-6779 |
| Fax | 4014446912 |
| Phone | +1 401-444-9909 |
| Fax | 4014444095 |
Authorized person
| Name | EVA GREENWOOD |
| Role | SVP, FINANCE |
| Phone | 4014447914 |
Taxonomy
| Taxonomy Code | 251F00000X - Home Infusion Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PAUL J. ADLER | Agent | 245 CHAPMAN STREET SUITE 200, PROVIDENCE, RI, 02905, USA |
| Number | Name | File Date |
|---|---|---|
| 202458852240 | Fictitious Business Name Statement | 2024-08-15 |
| 202448943950 | Annual Report | 2024-03-14 |
| 202332361330 | Annual Report | 2023-04-05 |
| 202214025200 | Annual Report | 2022-03-28 |
| 202104388750 | Annual Report | 2021-10-29 |
| 202104403840 | Annual Report | 2021-10-29 |
| 202066296740 | Annual Report | 2020-10-15 |
| 201928160720 | Annual Report | 2019-11-22 |
| 201988697660 | Statement of Change of Registered/Resident Agent | 2019-03-15 |
| 201983862630 | Annual Report | 2019-01-07 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
